Ms Mary O'Dowd:

I thank Deputies Sandra McLellan and Regina Doherty. In relation to the data to which Dr. Shannon has alluded, there are really good systems being developed within the public health nursing service. Dr. Shannon referred to the population health information tool which was developed by a nurse, Ms Ann McDonald, who has progressed it to what we call a "digifit". That certainly addresses the need in relation to data, if it is accepted and rolled out. There are plans afoot to improve the data and really good data could be extracted in the use of this tool.

I refer to children with complex needs. Children with very complex needs are being discharged from paediatric hospitals. They will require specialised nursing care. Again, it favours the argument for a specialised child health nursing service.

We are all aware that the health profile of and life expectancy among marginalised groups is much lower. Again, there are pockets where there are really good programmes for marginalised groups. In so far as they can do so, their needs are addressed locally. However, there are variations. Again, the public health nurse is the key person who is aware of the families concerned and can address some of their health issues.

l was delighted to hear the comments on nurse-led clinics. We are making ground in the community and the benefit for clients is that they do not have to attend hospital but can stay at home